{"npi":"1801936927","type":"NPI-2","status":"active","name":{"display":"Elwyn Of Pennsylvania And Delaware","other":[],"organization_name":"ELWYN OF PENNSYLVANIA AND DELAWARE","authorised_official":"Donna Busch"},"specialty":{"primary_taxonomy":"315P00000X","primary_taxonomy_description":"Intellectual Disabilities Intermediate Care Facility","slug":"intellectual-disabilities-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"111 ELWYN RD","city":"ELWYN","state":"PA","postal_code":"190634622","country_code":"US","street_2":"ICF MR ADULT RESIDENTIAL","phone":"6108917692"},{"purpose":"MAILING","street_1":"111 ELWYN RD","city":"ELWYN","state":"PA","postal_code":"190634622","country_code":"US","street_2":"ICF MR ADULT RESIDENTIAL","phone":"6108917692"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1000021240254","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-07","last_updated":"2024-05-06","_meta":{"source":"NPPES","snapshot_date":"2024-05-06","doc_url":"https://findmynpi.com/api"}}